1. There is no major contraindication
What we call “breast enlargement” Denotes an excess of breast volume compared to the morphology of a woman. A volume that is often badly lived. This is usually associated with a sagging chest (called breast ptosis). The operation consists of a reduction of breast tissue and excess skin. “There is no major contraindication”, underlines Dr Nathalie Bricout, plastic surgeon. When we have decided, in addition to a preoperative assessment, women over 35 are asked to perform a mammogram and an ultrasound.
2. It is possible at any age
“Often, hypertrophy is so badly tolerated that one should not hesitate to intervene from adolescence, if breast development is stabilized. It is an intervention which is often very satisfactory for the patient ”, indicates Dr. Bricout. And this, whatever the age. “I could not stand this image of myself any longer, with a 90 F in the right breast, and a 90 C in the left breast, testifies Victoria *, 58 years old. After the operation, I had the impression of discovering new breasts. ”
I couldn’t stand this image of myself anymore, with a 90 F in the right breast, and a 90 C in the left breast – Victoria *, 58 years old.
3. We decide on the size of her breasts
“To determine their final size, we discuss with the patient,” explains Dr. Catherine Bruant-Rodier, professor of plastic surgery at Strasbourg University Hospital. If the woman wants small tits, we make a B cup. If she wants to keep a good volume, we can go up to a D cup. We try to do something harmonious. ”
4. A refund under conditions
Medicare agrees to take care of cases requiring removal of more than 300 grams per breast. The process does not require no prior request. The reimbursement includes the cost of the act (around € 400), to which are added the fees of the surgeon and the anesthetist which can be covered by a mutual insurance company. The cost, therefore, varies between 0 and 4000 € without support.
5. The operation leaves scars
“The woman gains in the comfort of clothing, in well-being, and the relationship between silhouette and breasts is much more balanced, but there are scars, warns Nathalie Bricout. The scar around the areola – that we go up and reduce the size – is inevitable. There is also a vertical scar going from the areola to the bottom of the breast and, most of the time, a horizontal segment hidden in the breast fold, the whole forming an inverted “T”. »Diagrams and photos can be shown during the first consultation as examples. Some scars can stay large, red, and inflammatory, but if you heal well, they become thin and white and hardly visible over time. According to the French Society of Reconstructive and Aesthetic Plastic Surgery, the end result can only be judged from one year after the operation.
6. It can change breast tenderness
In some cases of very large hypertrophies, it may happen that there is a decrease in the erogenous sensitivity of the nipple. “But it is well accepted, because the very large breast is not liked and, in the privacy, often little invested”, notes Professor Bruant-Rodier.
The very large breast is not liked and, in private, often little invested – Pr Bruant-Rodier
7. The operation takes place under general anesthesia
The day before or the same day, markers are drawn on the chest. The intervention, which lasts between two and four hours, is performed under general anesthesia. We wake up with a bandage which will then be removed. You must bring with you a sports bra that will be used to maintain the dressings, which will be changed regularly until healing. Hospitalization lasts one to three days, then postoperative consultations are scheduled. The threads, if they are not absorbable, are removed after two to three weeks and scar care does not usually require a nurse.
8. We must stop working
It is common to have a swelling and bruises on the chest and feel a embarrassment when you raise your arms, but it does not last. Analgesics are prescribed to treat any pain. A work stoppage between 8 and 21 days is to be expected, and one must wait between one and two months to resume sport.
9. There are (rare) complications
Among the possible complications are thromboembolic events (phlebitis, pulmonary embolism, although very rare), infections, hematomas, delayed healing, lasting loss of sensitivity, necrosis (also very rare). “Scar disunity can occur in some women who have trouble bearing threads. The breast reopens, and we practice local care ”, adds Catherine Bruant-Rodier. It should be noted that diabetes and tobacco increase the risk of complications. It is also recommended to planquit smoking about three months before the operation.
10. Better to have a stable weight
It is preferable to have a stabilized weight before being operated because if you lose weight after breast reduction, the breast falls back: its volume decreases while the skin does not move. Pregnancy cannot be considered for about a year. “We suggest to young women who want a child to have their baby first because a close pregnancy can degrade the result,” explains Dr. Bruant-Rodier. When it comes to breastfeeding, the severing of many ducts leading milk to the nipple can compromise lactation in some cases. But, most of the time, it is possible to breastfeed.